Organization
ST VINCENT HOSPITAL
Active
Other names
Santa Fe Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
J ALEX VALDEZ (CEO PRESIDENT)
(505) 820-5227
Entity
Organization
Contact information
Practice address
1631 HOSPITAL DR, SUITE 240, SANTA FE, NM 87505-4728
(505) 988-3975
(505) 986-8001
Mailing address
1631 HOSPITAL DR, SUITE 240, SANTA FE, NM 87505-4728
(505) 988-3975
(505) 954-8720
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9515
—
NM
Enumeration date
03/26/2007
Last updated
03/13/2012
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